b b b b b b
Edition (Ellen M. Chiocca)
b b b
All Chapters 1 - 26
b b b b b
,
,Chapterb1.bChildbHealthbAssessment:bAnbOverview
MULTIPLEbCHOICE
1.bAbnursebisbreviewingbchangesbinbhealthcarebdeliverybandbfundingbforbpediatricbpopulations.
Whichbcurrentbtrendbinbthebpediatricbsettingbshouldbthebnursebexpectbtobfind?
a.bIncreasedbhospitalizationbofbchildren
b.bDecreasedbnumberbofbuninsuredbchildren
c.bAnbincreasebinbambulatorybcare
d.bDecreasedbusebofbmanagedbcare
ANSWER:bC
Onebeffectbofbmanagedbcarebisbthatbpediatricbhealthcarebdeliverybhasbshiftedbdramaticallybfrombthe
acutebcarebsettingbtobthebambulatorybsetting.bThebnumberbofbhospitalbbedsbbeingbusedbhas
decreasedbasbmorebcarebisbprovidedbinboutpatientbandbhomebsettings.bThebnumberbofbuninsured
childrenbinbthebUnitedbStatesbcontinuesbtobgrow.bOnebofbthebbiggestbchangesbinbhealthcarebhas
beenbthebgrowthbofbmanagedbcare.
DIF:bCognitivebLevel:bComprehensionbREF:bdmb3
OBJ:bNursingbProcessbStep:bPlanningbMSC:bSafebandbEffectivebCarebEnvironment
2.bAbnursebisbreferringbablow-incomebfamilybwithbthreebchildrenbunderbthebagebofb5byearsbtoba
programbthatbassistsbwithbsupplementalbfoodbsupplies.bWhichbprogrambshouldbthebnursebreferbthis
familybto?
a.bMedicaid
b.bMedicare
c.bEarlybandbPeriodicbScreening,bDiagnostic,bandbTreatmentb(EPSDT)bprogram
d.bWomen,bInfants,bandbChildrenb(WIC)bprogram
, ANSWER:bD
WICbisbabfederalbprogrambthatbprovidesbsupplementalbfoodbsuppliesbtoblow-incomebwomenbwho
arebpregnantborbbreast-feedingbandbtobtheirbchildrenbuntilbthebagebofb5byears.bMedicaidbandbthe
MedicaidbEarlybandbPeriodicbScreening,bDiagnostic,bandbTreatmentb(EPSDT)bprogrambprovides
forbwell-childbexaminationsbandbrelatedbtreatmentbofbmedicalbproblems.bChildrenbinbthebWIC
programbareboftenbreferredbforbimmunizations,bbutbthatbisbnotbthebprimarybfocusbofbthebprogram.
PublicbLawb99-457bprovidesbfinancialbincentivesbtobstatesbtobestablishbcomprehensivebearly
interventionbservicesbforbinfantsbandbtoddlersbwith,borbatbriskbfor,bdevelopmentalbdisabilities.
MedicarebisbthebprogrambforbSeniorbCitizens.
DIF:bCognitivebLevel:bApplicationbREF:bdmb7
OBJ:bNursingbProcessbStep:bImplementation
MSC:bHealthbPromotionbandbMaintenance
3.bInbmostbstates,badolescentsbwhobarebnotbemancipatedbminorsbmustbhavebparentalbpermission
before:
a.btreatmentbforbdrugbabuse.
b.btreatmentbforbsexuallybtransmittedbdiseasesb(STDs).
c.bobtainingbbirthbcontrol.
d.bsurgery.
ANSWER:bD
Anbemancipatedbminorbisbabminorbchildbwhobhasbtheblegalbcompetencebofbanbadult.bLegalbcounsel
maybbebconsultedbtobverifybthebstatusbofbthebemancipatedbminorbforbconsentbpurposes.bMostbstates
allowbminorsbtobobtainbtreatmentbforbdrugborbalcoholbabusebandbSTDsbandballowbaccessbtobbirth
controlbwithoutbparentalbconsent.
DIF:bCognitivebLevel:bApplicationbREF:bdmb12
OBJ:bNursingbProcessbStep:bPlanningbMSC:bSafebandbEffectivebCarebEnvironment